Job Description

What You Will be doing in this Role:

The Senior Revenue Cycle Analyst is responsible for the development, assessment and quantification of trends and recommendations for potential root cause systematic/end user workflow solutions. This will require direct working relationships with management and key staff members, in addition to key members of Finance and Medical Center Departments. You will:

• Analyze trends to determine where variances are occurring and develop reports to assess these variances.
• Summarize information, data, and recommendations, and preparing presentation materials.
• Develop a strategic approach, and make recommendations based upon overall analysis, to effectively monitor areas of opportunity/risk.
• Assist in developing/creating recurring and ad-hoc reports for finance and CS revenue cycle.
• Participate in comprehensive denial and revenue cycle optimization projects.
• Use independent judgment to resolve issues and escalate high priority risk items to leadership, as needed.

Department specific responsibilities:

Works closely with CSRC management and subject matter experts in reviewing and analyzing healthcare data related to patient billing and claims to identify trends, potential revenue leakage, and areas for improvement within the revenue cycle process, aiming to optimize revenue collection and minimize denials and days in A/R by identifying, recommending, and implementing strategic solutions.

Reviews, analyzes, and reports out potential break/fix system or user interface issues across revenue cycle. Summarize issue, quantify impact, areas of revenue cycle that need to be considered, and identifies root cause drivers in partnership with management SMEs.

Applies revenue cycle operational knowledge and system skills for optimization projects that aim to realize efficiencies in revenue cycle for patient experience, ease of end user time and effort, reimbursement, and systems automation.
Participates in collaborative workgroup meetings with CSRC management and EIS PB partners to track to system updates or business-as-usual fixes in support or revenue cycle business or payer requirements.

Qualifications

Requirements:

• High School Diploma or GED required. Bachelor's degree in finance, economics, business or a related major preferred.
• A minimum of 3 years of experience as an analyst (data, financial business or related) required.
• A minimum of 5 years integrated healthcare revenue cycle experience - charging, coding, revenue integrity, claims, remittance/payment posting, reporting analytics, insurance and/or self-pay collections.
• Epic certification in a revenue cycle application (ADT/Prelude, Cadence, Resolute PB or HB) preferred.

Beyond outstanding benefits, competitive salaries and health and dental insurance We take pride in hiring the best employees. Our talented staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation and the gold standard of patient care we strive for.